Provider Demographics
NPI:1306710173
Name:PESUT, SARA LYNN (DPT)
Entity type:Individual
Prefix:MRS
First Name:SARA
Middle Name:LYNN
Last Name:PESUT
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6990 OAKES RD
Mailing Address - Street 2:
Mailing Address - City:BRECKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44141-2736
Mailing Address - Country:US
Mailing Address - Phone:330-283-7555
Mailing Address - Fax:
Practice Address - Street 1:7979 BROADVIEW RD UNIT 2
Practice Address - Street 2:
Practice Address - City:BROADVIEW HTS
Practice Address - State:OH
Practice Address - Zip Code:44147-1269
Practice Address - Country:US
Practice Address - Phone:440-817-2967
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-03
Last Update Date:2025-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT010767208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation